Reservation Form - Member

Please complete this form to request a Lodging reservation at the Main Clubhouse. A Harvard Club representative will contact you by email or phone to confirm your reservation.

* indicates required field

Reservation Information
Member Number:	*
Guest First Name: (if different from above)
Guest Last Name:
Guest Address:
City:
State:
Zip/Postal Code:
Home Phone Number:	*
Email:	*
Charge Bill to:	Member Guest *
Number in Party:	*
Additional Occupants' Name(s):

Arrival Date:

Departure Date:


	Check One *
Non Smoking Rooms Only:		Queen Bed
		2 Twin Beds
		King Bed
		2 Queen Beds
Handicapped Accessible:		King Bed
Handicapped Accessible:		Queen Bed & Twin Bed
Suite Rooms:		2 Twin Beds
		Queen Bed
		King Bed

Special Requests:

Reservation Confirmation:
Send Confirmation To:
Name:	*
Phone Number:	*
Email:	*